Jennie L Kelly, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2277698 Issued in MA

Practice address

7 Hancock Cir
Methuen, MA 01844-7146

Phone

(978) 509-1749

NPI assigned

Feb 5, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Circle Health Urgent Care LLCGroup PAC ID 4486976792, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Circle Health Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Westford, MA
  • NPI 1710392683
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1912445479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34B BRAMAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231942",
            "telephone_number": "978-509-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HANCOCK CIR",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447146",
            "telephone_number": "978-509-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JENNIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2277698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "2277698",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Keaney, RPH
• Gail Mary Keenan, NP
• Robert E Kellan, M.D.
• Charles G Kelley, MD
• Joseph Thomas Kelley, PHD
• Megan Leigh Keraghan, RDN
• Kevin J. Berry, MD
• Kevin M. O'Brien DC PC
• Hossein Keyhan, MD
• Kaylianna Retanna Kheal

• Family Nurse Practitioner in Methuen, MA
• Providers in Methuen, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.